Fry Eye Associates, PA and Fry Eye Surgery Center, LLC (collectively referred to as “Fry Eye” for the purposes of this policy) comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. Fry Eye does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Fry Eye:

Provides free aids and services to people with disabilities to communicate effectively with us, such as:

• Qualified sign language interpreters or written information in other formats (large print, audio, accessible electronic formats, other formats)

Provides free language services to people whose primary language is not English, such as:

• Qualified interpreters

If you need these services, contact Jennifer Teeter at 1-620-276-7699 or 1-620-275-7248.

If you believe that Fry Eye has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with the Civil Rights Coordinator:

Jennifer Teeter
502 College Street
Garden City, KS 67846
620-275-7248 – phone
620-275-5262 – fax
jteeter@fryeye.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Civil Rights Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue SW.,
Room 509F,
HHH Building
Washington, DC 20201
(800) 868-1019
(800) 537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.